A patient education program is effective in reducing cancer-related fatigue: A multi-centre randomised two-group waiting-list controlled intervention trial

Reif, Karl; Vries, U. de; Petermann, Franz; Görres, Stefan

doi:10.1016/j.ejon.2012.07.002

Cited by 73 publications

(63 citation statements)

References 34 publications

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“…The study team developed a manualized PES intervention, in accordance with PES programs used in other published studies of CRF [23]. Specific topics were addressed each week, and sessions included sharing of experiences living with CRF and strategies for CRF self-management.…”

Section: Methodsmentioning

confidence: 99%

“…Thus, fatigue interference was selected as the primary outcome, as the intent of MBSR is to reduce symptom-related functional interference. Prior studies of the effects of the active comparator have included fatigue interference among their outcomes [23] as interference tends to be of greater concern to survivors than the presence or severity of fatigue [34]. …”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the aim of the current trial was to determine the effect size of MBSR compared to an active treatment in reducing fatigue and associated symptoms among cancer survivors following chemotherapy and/or radiotherapy. Because it is recommended as a treatment for CRF [10] and prior research has shown it is efficacious in treating CRF and its correlates [23–25], psychoeducation and support (PES) was selected as the active comparator for this study.…”

Section: Introductionmentioning

confidence: 99%

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Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Johns

Brown

Beck-Coon

et al. 2016

Support Care Cancer

146

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Purpose Cancer-related fatigue (CRF) is a disruptive symptom for many survivors. Despite promising evidence for efficacy of Mindfulness-Based Stress Reduction (MBSR) in reducing CRF, no trials comparing it to an active comparator for fatigued survivors have been published. The purpose of this trial was to compare MBSR to psychoeducation for CRF and associated symptoms. Methods Breast (n=60) and colorectal (n=11) cancer survivors (stage 0–III) with clinically significant CRF after completing chemotherapy and/or radiation therapy an average of 28 months prior to enrollment were randomized to MBSR or psychoeducation/support groups (PES). MBSR focused on mindfulness training; PES focused on CRF self-management. Outcomes included CRF interference (primary), CRF severity and global improvement, vitality, depression, anxiety, sleep disturbance, and pain. Outcomes were assessed at baseline (T1), post-intervention (T2), and 6-month follow-up (T3) using intent-to-treat analysis. Results Between-group differences in CRF interference were not significant at any time point; however, there was a trend favoring MBSR (d=−0.46, p=0.073) at T2. MBSR participants reported significantly greater improvement in vitality (d=0.53, p=0.003) and were more likely to report CRF as moderately-to-completely improved compared to the PES group (χ2 (1)=4.1765, p=0.041) at T2. MBSR participants also reported significantly greater reductions in pain at T2 (d=0.53, p=0.014). In addition, both MBSR and PES produced moderate-to-large and significant within-group improvements in all fatigue outcomes, depression, anxiety, and sleep at T2 and T3 compared to T1. Conclusion MBSR and PES appear efficacious for CRF and related symptoms. Larger trials including a usual care arm are warranted.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Johns

Brown

Beck-Coon

et al. 2016

Support Care Cancer

146

View full text Add to dashboard Cite

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“…By understanding this process of individualization, the benefits of goal-setting for improved symptom management can be realized. 24,25 Given patients’ hesitancy to report CRF because of misperceptions that it is either unavoidable or will result in changes to their primary cancer treatment, 26 individualization of goals and strategies such as those described here for CRF among women with recurrent ovarian cancer may address patient barriers to symptom management.…”

Section: Discussionmentioning

confidence: 99%

Creating Individualized Symptom Management Goals and Strategies for Cancer-Related Fatigue for Patients With Recurrent Ovarian Cancer

Hagan

Arida

Hughes³

et al. 2017

Cancer Nurs

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Background Cancer-related fatigue (CRF) is one of the most common symptoms among women with recurrent ovarian cancer, yet it remains extremely difficult to manage. Symptom management typically requires patients to set goals and strategies to manage their CRF, but little is known about how to create individualized CRF symptom management goals and strategies. Objective To describe cancer patients’ goals and strategies for managing cancer-related fatigue along with their process of individualizing both. Methods This study is a qualitative analysis with supportive quantitative description of a web-based symptom management RCT, the WRITE Symptom Study. Researchers conducted a content analysis on N=47 participants’ CRF symptom care-plans to identify common themes in participants’ goals, categorize strategies, and describe the individualization process. Results Four general themes were identified among participants’ CRF goals: 1) Enjoying time with friends and family, 2) Doing the things I enjoy, 3) Having energy to be physically active, and 4) Keeping up with what I need to do. CRF strategies were categorized into 13 groups including conserving energy, increasing activity, and talking with healthcare providers. A multistep individualization process resulted in personally-meaningful strategies. Conclusions The process by which participants individualized their CRF strategies consisted of identifying, confirming, testing, and evaluating different CRF strategies and resulted in refined, specific and individualized strategies intended to eventually ensure participants achieve their goal. Implications for Practice Clinicians can assist patients in individualizing their CRF goals and strategies. Individualization of CRF goals and strategies assists patients in visualizing how improving CRF will impact their life.

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“…Als mögliche Ursachen und prädispo-nierende Faktoren für tumorbedingte Fatigue werden immunologische, endokrine, neurologische, psychologische, hämatologische muskuloskelettale und Ernährungsfaktoren diskutiert (Patarca-Montero, 2004). Darüber hinaus können auch der Abbau der Skelettmuskulatur durch Immobilität (Al-Majid & McCarthy, 2001) und Störungen des zirkadianen Rhythmus (Berger, Wielgus, Hertzog, Fischer & Farr, 2010) (Stuhldreher, Reif, de Vries, Görres & Petermann, 2008;Reif, de Vries, Petermann & Görres, 2010;Reif, de Vries, Petermann & Görres, 2012).…”

Section: Bewegungsförderung Und Psychosoziale Unterstützung Sollten Iunclassified

Was hilft wirklich bei tumorbedingter Fatigue? Ein Überblick über systematische Übersichtsarbeiten

Reif

Vries

Petermann

2012

Pflege

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A patient education program is effective in reducing cancer-related fatigue: A multi-centre randomised two-group waiting-list controlled intervention trial

Cited by 73 publications

References 34 publications

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Creating Individualized Symptom Management Goals and Strategies for Cancer-Related Fatigue for Patients With Recurrent Ovarian Cancer

Was hilft wirklich bei tumorbedingter Fatigue? Ein Überblick über systematische Übersichtsarbeiten

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